2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

An open box of gloves labeled "keep out of reach of children" were observed sitting on a low shelf in the Kangaroo bathroom. Correction: Immediately (1/15/26) ensure items labeled "keep out of reach of children" are inaccessible to children. Teacher corrected at time of visit by placing gloves on a high shelf out of reach of children. No further response required. Correct by 01/15/2026

Corrected Corrected by Jan 15, 2026

Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

A tub of aquaphor cream labeled "keep out of reach of children" was stored in an open bin on a low shelf in the Lions classroom within reach of children. Correction: Immediately (12/19/25) ensure all items labeled "keep out of reach of children" inaccessible to children at all times. Teacher corrected at the time of the visit by placing the aquaphor on a high shelf out of reach of children. No further response required. Correct by 12/19/2025

Corrected Corrected by Dec 19, 2025

Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

A box of latex gloves and a bag of diaper wipes labeled "keep out of reach of children" was observed sitting on a low counter and shelf in the Kangaroo classroom and upstairs bathroom accessible to children. Correction: Immediately (11/10/2025) ensure that items labeled "keep out of reach of children" are inaccessible to children at all times. Teacher corrected at time of visit by moving items to a high shelf out of the reach of children. No further response required. Correct by 11/10/2025

Corrected Corrected by Nov 10, 2025

Marked corrected in the state record.

7.702.51.B.10 · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

A total of three emergency medications expired and inside two classroom's (Otters, Peacocks) backpacks. Correction: Ensure expired medications are sent home or disposed of as required by CDPHE. Facility also had current medications on-site. Immediately correct and submit a written statement of compliance. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Category: health medication. Marked corrected in the state record.

7.702.71.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Art work with google eyes hanging on the wall in the Red Pandas classroom and accessible to children under the age of three years, posing a potential choking hazard. Correction: Keep choking hazards inaccessible to children under the age of 3. ***CORRECTED AT TIME OF

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.702.91.E · Combustibles such as cleaning rags, mops, and cleaning compounds must be stored in well-ventilated areas, separated from flammable materials, and stored in areas inaccessible to children.

Computer duster on a low desk outside of the Otters classroom, potentially accessible to children. Correction: Ensure cleaning compounds are inaccessible to children. ***CORRECTED AT TIME OF INSPECTION, Director locked duster in the appropriate area.*** No response required. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Marked corrected in the state record.

7.702.41.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 46 staff files, identified 1 staff member lacking a health statement within 30 days of hire. Correction: Ensure staff members obtain a health statement within 30 days of hire and dated no more than 6 months prior to employment. Correct and submit a written statement of future compliance. Correct by 09/02/2023

Corrected Corrected by Sep 2, 2023

Category: health medication. Marked corrected in the state record.

7.701.100.F.2 · . Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly, but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Facility only able to provide June and July emergency drill logs for 2023. Correction: Obtain and maintain drill logs for the past 12 months. Immediately correct and submit a written statement of

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 47 staff files, identified 2 staff members (Angel, Monica) lacking a current Standard Precautions certificate. Correction: Ensure staff complete the training prior to working with children and annually. Immediately correct and submit a written statement of compliance with documentation to Specialist once obtained. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 47 staff files, identified 3 staff members (Jessica R., Allison B., Angel) lacking certification or the module and past 30 days of hire. Correction: Ensure staff members not required in rule to be certified complete the module within 30 days of hire. Correct and submit a written statement of compliance with documentation to Specialist once obtained. Correct by 09/02/2023

Corrected Corrected by Sep 2, 2023

Marked corrected in the state record.

7.702.34.A.7 · The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility.

Reviewed 16 children's files, identified 1 child with an expired emergency medical authorization. Correction: Ensure emergency medical authorization is signed annually. Immediately correct and submit a written statement of compliance once obtained. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Category: health medication. Marked corrected in the state record.

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 16 children's files, identified 1 child with an expired health statement. Correction: Obtain and maintain health statements for children within 30 days of listed due date. Correct and submit a written statement of compliance once obtained. Correct by 09/02/2023

Corrected Corrected by Sep 2, 2023

Category: ratio. Marked corrected in the state record.

7.702.72.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

A sharp, metal gutter about 8 feet in length in the process of being replaced and laying in the middle of the Toddler playground while in use by the children. A long, wooden shard sticking out of the fence on the Infant playground about 6 inches in length. Correction: Ensure all outdoor areas are inspected and kept safe from hazardous materials, debris, and dilapidated structures. ***CORRECTED AT TIME OF INSPECTION, both materials were removed at time of inspection.*** No response required. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Category: physical safety. Marked corrected in the state record.